Jackson Wilson
Jackson Wilson is a Mental Health Counselor in Pataskala, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
82 Kelly Marie DrPataskala, OH 43062-8182
Phone: (614) 315-9437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1790555811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2024 |
| Last updated in NPPES | January 9, 2024 |
| Certification date | January 9, 2024 |
| Mailing address | 82 Kelly Marie Dr, Pataskala, OH 43062-8182 |
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